Active NPI
Doctors Pun and Delucia PC
- Gastroenterology Physician
- Waterbury, CT
National Provider Identifier
1437295342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- DOCTORS PUN AND DELUCIA PC
- Practice address
- 134 Grandview Ave
Suite 202
Waterbury, CT 06708 - Phone
- (203) 756-7788
- Fax
- (203) 754-1254
- NPI assigned
- Jan 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hector R Pun, MD
- Title
- Head Physician
- Phone
- (203) 756-7788
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
134 Grandview Ave
Suite 202
Waterbury, CT 06708
Mailing address
134 Grandview Ave
Suite 202
Waterbury, CT 06708
Phone (203) 756-7788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1241769 | Medicaid | CT |
National Provider Directory
National Provider DirectoryLocations
134 Grandview Ave
Ste 202
Waterbury, CT 06708
Phone (203) 756-7788
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Waterbury, CT
- NPI 1114232832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427932800000",
"number": "1437295342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 GRANDVIEW AVE",
"address_2": "SUITE 202",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-756-7788",
"fax_number": "203-754-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 GRANDVIEW AVE",
"address_2": "SUITE 202",
"city": "WATERBURY",
"state": "CT",
"postal_code": "06708",
"telephone_number": "203-756-7788",
"fax_number": "203-754-1254"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS PUN AND DELUCIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-29",
"last_updated": "2015-04-02",
"status": "A",
"authorized_official_last_name": "PUN",
"authorized_official_first_name": "HECTOR",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "HEAD PHYSICIAN",
"authorized_official_telephone_number": "203-756-7788",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1241769",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.